Bone Jt Open. 2021 Dec;2(12):1043-1048. doi: 10.1302/2633-1462.212.BJO-2021-0145.R1.
There is limited information on outcomes of revision ACL reconstruction (rACLR) in soccer (association football) athletes, particularly on return to sport and the rate of additional knee surgery. The purpose of this study was to report return to soccer after rACLR, and to test the hypothesis that patient sex and graft choice are associated with return to play and the likelihood of future knee surgery in soccer players undergoing rACLR.
Soccer athletes enrolled in a prospective multicentre cohort were contacted to collect ancillary data on their participation in soccer and their return to play following rACLR. Information regarding if and when they returned to play and their current playing status was recorded. If they were not currently playing soccer, they were asked the primary reason they stopped playing. Information on any subsequent knee surgery following their index rACLR was also collected. Player demographic data and graft choice were collected from their baseline enrolment data at rACLR.
Soccer-specific follow-up was collected on 76% (33 male, 39 female) of 95 soccer athletes. Subsequent surgery information was collected on 95% (44 male, 46 female). Overall, 63% of athletes returned to soccer a mean 9.6 months (SD 5.8) after index revision surgery but participation in soccer decreased to 19% at a mean of 6.4 years (SD 1.3) after surgery. There was no significant association of patient sex or graft choice with return to play, time of return to play, or long-term return to play. Females were more likely than males to have subsequent knee surgery following rACLR (20% (9/46) vs 5% (2/44); p = 0.050). The rate of recurrent graft tear (5.6%; 5/90) was similar between males and females.
Approximately two-thirds of soccer players return to sport after rACLR, but the rate of participation drops significantly over time. Neither patient sex nor graft choice at the time of rACLR were associated with return to play. Female soccer players face a higher risk for additional knee surgery after rACLR than male soccer players. Cite this article: 2021;2(12):1043-1048.
关于足球运动员翻修前交叉韧带重建术（rACLR）的结果，尤其是恢复运动情况和再次进行膝关节手术的发生率，相关信息有限。本研究的目的是报告rACLR后恢复足球运动的情况，并检验以下假设：在接受rACLR的足球运动员中，患者性别和移植物选择与恢复比赛以及未来进行膝关节手术的可能性相关。
联系参与前瞻性多中心队列研究的足球运动员，收集他们参与足球运动的辅助数据以及rACLR后恢复比赛的情况。记录他们是否以及何时恢复比赛及其当前的比赛状态。如果他们目前不踢足球，则询问他们停止踢球的主要原因。还收集了他们初次rACLR后任何后续膝关节手术的信息。球员人口统计学数据和移植物选择从rACLR时的基线入组数据中收集。
对95名足球运动员中的76%（33名男性，39名女性）进行了特定于足球运动的随访。收集了95%（44名男性，46名女性）的后续手术信息。总体而言，63%的运动员在初次翻修手术后平均9.6个月（标准差5.8）恢复踢足球，但在手术后平均6.4年（标准差1.3）时，参与足球运动的比例降至19%。患者性别或移植物选择与恢复比赛、恢复比赛的时间或长期恢复比赛之间无显著关联。rACLR后女性比男性更有可能进行后续膝关节手术（20%（9/46）对5%（2/44）；p = 0.050）。男性和女性的移植物复发性撕裂率（5.6%；5/90）相似。
约三分之二的足球运动员在rACLR后恢复运动，但随着时间推移参与率显著下降。rACLR时的患者性别和移植物选择均与恢复比赛无关。与男性足球运动员相比，女性足球运动员在rACLR后进行额外膝关节手术的风险更高。引用本文：《2021；2(12):1043 - 1048》
